DATA SHEET FORM
This information will be asked on applications. Please print out a copy for your records before hitting the send button.

Date:
Name of the Student:
Phone:
Name Of High School:
Social Security #:
GPA 9-11 academic unweighted gpa:
GPA 10-11 academic weighted gpa:
Student: Please list all schools and colleges you have attended since 9th grade:

COST FACTOR
Are you willing to look at private colleges which cost approximately $70,000+ a year?
Do you need financial aid? Do you feel you will qualify for federal aid based on income below $100,000?
Is public school (UC/CSU and out of state public colleges) more desirable due to cost?

STANDARIZED TEST SCORES:
Did you have private test prep?:
Name of company:
Number of hours:
Did you attend a group test prep class?:
Name of class:

PSAT
DATE:
Math (Range 160-760):
Evidence Based Critical Reading and Writing (160-760):

SAT I DATA
DATE:
Math:
Critical Reading:
Writing:

DATE:
Math:
Critical Reading:
Writing:

SAT II DATA
Subject:
Score:

Subject:
Score:

Subject:
Score:

ACT DATA
Date:
Composite Score:

AP DATA
AP Test Date:
AP Test:
AP Score:
AP Test Date:
AP Test:
AP Score:
AP Tests Pending Score:

Parent Information
Parent 1 -Name:
Parent 1 -Address:
(if different from student's)
Parent 1-Work Phone:
Parent 1-Employer:
Parent 1-Occupation:
Parent 1-Undergraduate College Attended:
Parent 1-Degree Earned:
Year Graduated:
Parent 1-Graduate College Attended:
Parent 1-Graduate Degrees & Certifications Earned:
Parent 1-Year Graduated:

Parent 2 Name:
Parent 2-Address:
(if different from student's)
Parent 2-Work Phone:
Parent 2-Occupation:
Parent 2-Undergraduate College Attended:
Parent 2-Degree Earned:
Year Graduated :
Parent 2-Graduate College Attended:
Parent 2-Degrees & Certifications Earned:
parent 2-Year Graduated:
Brother/Sister of the student
(please list all siblings, their ages and colleges):